| NPI | 1407931546 |
|---|---|
| Doing Business As | GLEN HAVEN VILLAGE |
| Entity Type | Organization |
| Authorized Contact | JULIANNE M MARRIOTT Administrator 712-302-9016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 650355) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2021-12-15 |